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本文报道手术治疗的37例嗜铬细胞瘤(嗜铬瘤)和1例肾上腺髓质增生,讨论了有关诊断和处理中的若干问题.注意进行鉴别诊断,特别是非典型临床类型的表现。测定尿香草基扁桃酸(VMA)及儿茶酚胺(CA)十分重要。药理试验可提高诊断率。腹膜后充气造影是本组病例的主要定位手段,超声显象检查对诊断很有价值。强调术前合理使用α及β受体阻滞剂.讨论了三种手术切口的适应证,介绍了术中及术后处理血压的经验。本组病例无手术死亡。
This article reports the surgical treatment of 37 cases of pheochromocytoma (pheochromocytoma) and 1 case of adrenal medulla hyperplasia. Several problems in diagnosis and treatment are discussed. Note the differential diagnosis, especially the performance of atypical clinical types. Determination of urinary vanillyl-mandelic acid (VMA) and catecholamines (CA) is very important. Pharmacological tests can increase the diagnostic rate. Retroperitoneal inflation imaging is the main positioning method in this group of cases. Ultrasound imaging is very valuable for diagnosis. Emphasizes the rational use of alpha and beta blockers before surgery. Discusses the indications of the three surgical incisions and describes the experience of intraoperative and postoperative blood pressure management. There were no operative deaths in this group.